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General NPI Number Information
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NPI Number | 1245604693
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Entity Type | Organization
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Legal Business Name | P&L MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 11/23/2015
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 1112 N CARROLLTON AVE
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City | BATON ROUGE
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State | LA
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Zip | 70806-2017
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Country | US
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Telephone | 225-218-8998
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Fax | 225-218-8881
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Provider Business Mailing Address
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Address Line | 1112 N CARROLLTON AVE
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City | BATON ROUGE
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State | LA
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Zip | 70806-2017
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Country | US
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Telephone | 225-218-8998
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Fax | 225-218-8881
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Authorized Official
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Title or Position | CEO
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Name | MR. JEFFERY LACOUR SR.
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Credential |
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Telephone | 225-218-8998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 11338
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License Number State | LA
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